Want to perform?

We do Benefit Gigs at minimum costs to raise money. Will you do a freebie?*

yes

no

or?

Name of the Performer or Performance Troupe*

What kind of Perfomance?*

Want to specify more? Tells us below (ie Circus> Stilts or Acrobats

How many are you?*

How did you hear about us?*

Web

Friend

At one of the venues

Other? Please tick here and write them below

Do you have any special technical requests?*

No

Yes - please write them below

How long is your set?*

30 m

1 h

More? or less? Please tick here and write below

If you come over to play, we'll try to get you coverage in local news outlets. Do you have any press release?*

You bet I have!

Or something else...? please tick here and write below

Are you available on March 14, 2014? *

Yes

No

Anything else you want to tell us?*

Your email contact

Your website

Contact Name*

Your Phone*

Date/Time